Scan4Safety - Benefits Marie VuLeanza Benefits and Change Lead - - PowerPoint PPT Presentation

Scan4Safety - Benefits

Marie VuLeanza Benefits and Change Lead

Marie VuLeanza, Benefits and Change Lead, Salisbury NHS Foundation Trust

Welcome

Overview of Benefits

Released clinical time to care

• Equivalent to 16 band five nurses per Trust,
• r 2,400 band five nurses across the NHS

Reduction of inventory

• Averaging £1.5 million per Trust,
• r £216 million across the NHS

Ongoing operational efficiencies

• £2.4 million per Trust annually,
• r £365 million across the NHS

Based on the initial findings from the six demonstrator sites, it is estimated that for a typical NHS Hospital Trust, the benefits could be:

Key Benefits

HSJ Roundtable on Procurement, July 2013

• The NHS procures 1.7m different items
• 61 Trusts purchased 1750 different cannulae
• One Trust bought 177 different types of rubber gloves

Automated stock ordering Reduced stock wastage Reduced stock levels Positive patient identification Improved product traceability Cash releasing Increased efficiencies

£

Released clinical time to care

Hard Benefits

Reduction:

• Stock:
• Pharmacy: £329,296, a 23.06% reduction in stock holding

reduction

• Theatres:

£65,676 in MT, DSU and Anaesthetic*

• Cardiology: £39,000 through stock management, reducing over-

stocking*

Cash Releasing:

• Cost Avoidance:
• Pharmacy: £356,647 for recycling of products prior to expiry
• Orthopaedic: £51,893 or the exchange of out-of-date stock*
• Standardisation:
• Loan Kit Reduction: £7017, but will be £14,060 after this FY

£18,663

• Knee Consolidation: £69,349*
• Staff Releasing:
• Estates: £11,000 for 1 FTE released
• Finance: £22,388 for 1 FTE released
• Contract Negotiation:
• Procurement: £9,100 for software renegotiation
• Efficiency:
• Consignment Stock Racks: £15,000*

Hard Benefits

Hard Benefits

Other Imminent Benefits To Follow:

• Rationalisation:
• Theatre Trays: £23,517 – will increase as further trays are rationalised
• Standardisation:
• Consolidated Multiple Initiative Savings: £18,183*
• Consolidated Multiple Initiative Savings: £19,420

Total Financial Benefit (Cumulative): £1,056,149 £259,101 – Benefit Type: One Off* £797,048 – Benefit Type: Reoccurring

Improved waste management

Reduced stock wastage

Through Scan4Safety, we now do

Do you know what your current rate of stock expiration is? Do you know how much stock you waste?

Improved waste management

Reduced stock wastage

Through Scan4Safety, we now do

Do you know what your current rate of stock expiration is? Do you know how much stock you waste?

CARDIOLOGY £24,500 of expired Stock found £11,500 Trust

• wned

ORTHOPAEDICS £165,800 of expired Stock found £55,607 Trust

• wned

Expiry Management Policy and Procedure

• Ensure that products booked in are ≥ to 24 months of expiration
• If products are ≤ 18 months of expiration:
• Seek clinical guidance for likelihood of utilisation within 6 months
• If high probability of utilisation, then ensure to rotate and monitor

stock

• If low probability of utilisation, then contact supplier to discuss the

Terms and Conditions of for exchange of items

• Discuss with Logistics Manager Terms and Conditions

Soft Benefits

Time Releasing:

• Pharmacy:
• Introduction of new Inventory Management System:

6.6 hours a month (20 minutes/day) saved though reduction in manual practices

• Upgrade of Robot to enable 2D scanning – reduced manual expiry date

checks saving 17% of 1 FTE

• e-Ordering: Increased from 67.41% to 80.44%
• Cardiology:
• 2.5 hours saved per week (two Band 6 cardiology staff)

Operational Efficiency:

• Orthopaedics:
• Stock Rack:

£15,000 of stock racks to improve organization of stocks

How to benchmark

Scan4Safety Survey:

• Orthopaedics:
• Patient Safety and Clinical Operations:
• Expired product
• Time spent on non-clinical duties

Patient Safety:

• Patient and Product Identification:
• Improved accuracy of patient/product identification. Scanning Wristband/Point of

Use (POU).

• Product Recall:
• Improved product recall process:
• Product recall procedures; Measure SOP actions, relevance and efficiency; ease
• f process.
• Product recall man hours:
• Product recall procedures; Measure time, action, # of people, and cost of recall

process at baseline (prior to SOP) and post SOP.

Patient Experience:

• Patient Treatment:
• Reduction of procedure cancellation, postponement, and delays:
• Cancelled procedures due to equipment failure or unavailability of

product/equipment

Non-Clinical Time

60% 19% 13% 8%

Time Spent on Non-Clinical Duties Per Day

< 1 HR 1 -2 HRS > 2 HRS NO RESPONSE

Non-Clinical Time

51% 13% 36%

Details of Non-Clinical Duties

STOCK ADMIN NO RESPONSE

Locating Stock/Missing Items

13% 57% 26% 4% ONCE/DAY > 1/DAY 2 - 3 TIMES/WEEK NO RESPONSE

Key Learnings

• Be prepared to spend time observing, process

mapping and challenging existing processes to unlock potential benefits.

• Ensure benefits are clearly identified and tracked

from outset.

• Soft benefits can be just as important as financial

savings.

• Familiarise yourself with all the benchmarking

tools available to you.

@SFTScan4Safety Scan4Safety@salisbury.nhs.uk